What should our treatment goal be with our patients when it comes to managing chronic pain? A.

The goal is to make the pain go completely away.

B.

The goal is to make the patient feel numb so that the pain cannot be thought about.

C.

There are no specific treatment goals that we should discuss with our patients, just so they don't get their expectations too high.

D.

The goal is to improve their function and to drop their pain scale to less than 5 out of 10.

There are many different types of dementia. Which dementia is NOT a direct result of disrupted neurotransmitters, but a result of degeneration of different regions in the brain? Onset of the disease is typically before the age of 60, and very rare after the age of 75.

A.

Alzheimer's Disease

B.

Dementia with Lewy Bodies

C.

Creutzfeldt-Jakob Disease

D.

Frontotemporal Dementias

A 59-year-old male has been admitted to the E. D. due to a methamphetamine overdose. The patient's friend reported he ingested up to 2 grams because "he thought cops were coming to get him." The patient's vitals are all within normal limits, except his blood pressure is 180/110. What is the best recommendation to make at this time?

A.

Administer a beta-blocker like labetalol to help bring his blood pressure down

B.

Patient's blood pressure is considered a hypertension urgency, but it is probably due to the drug overdose. No action is needed at this time until the drug has cleared his system.

C.

Blood pressure is not a concern right now, but supportive therapy should be provided in the incidence of respiratory depression.

D.

Administer an alpha-blocker like phentolamine to help bring his blood pressure down.

Benzodiazepines can be withdrawn abruptly despite duration of therapy/abuse.

A.

True

B.

False

Select the correct treatment regarding drugs involved in addiction management and their corresponding mechanism of action.

A.

Benzodiazepines - GABA antagonist

B.

Buprenorphine - opioid antagonist

C.

Naltrexone - partial opiate agonist

D.

Flumazenil - GABA antagonist

Daytrana is the MPH transdermal system of methylphenidate approved for the treatment of ADHD in children aged 6 years and older. What is the difference in terms of the metabolism compared to the other formulations in this class?

A.

It is mainly metabolized by the enzyme carboxylesterase once absorbed.

B.

It does not undergo first-pass metabolism by the enzyme carboxylesterase in the liver.

C.

It can be cut up and sprinkled onto food so it can bypass first-pass metabolism in the liver.

D.

It uses an osmotic releasing oral system technology to slowly deliver the drug to the enzyme carboxylesterase in order to make the drug last longer.

T. B. is a 55-year-old male who has diagnosed with type 2 diabetes 10+ years ago. He has since had complications from the disease and is suffering from severe neuropathy. On top of that, T. B. is struggling with his mental health and was recently told he could be depressed but he had refused treatment at that time. Besides getting his blood sugar under control, what medication(s) can we use that may be useful in helping T. B.?

1. Nortriptyline
2. Venlafaxine
3. Duloxetine
4. Fluoxetine

A.

I, II, and III

B.

I and II

C.

II and III

D.

IV only

Disulfiram has been proven effective in the treatment of alcoholism, but recently it has been trialed in the management of cocaine addiction. What is the mechanism of action that likely helps produce these aversive effects?

A.

Inhibition on dopamine beta-hydroxylase

B.

Inhibition on aldehyde dehydrogenase

C.

Inhibition on alcohol dehydrogenase

D.

Inhibition on aldehyde reductase

SSRIs can be used in alcohol use disorder and offer modest drinking reduction through an anti-craving effect.

A.

True

B.

False

Which of the following drugs in the treatment of Alzheimer's Disease helps normalize glutamate by antagonizing the NMDA receptor?

A.

Memantine

B.

Donepezil

C.

Rivastigmine

D.

Galantamine